Individual
CHRISTOPHER BRIAN BLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
240 51ST AVE APT 2G, LONG ISLAND CITY, NY 11101-5866
(609) 992-5464
Mailing address
240 51ST AVE APT 2G, LONG ISLAND CITY, NY 11101-5866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024766-01
NY
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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